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4,510 Independent Nursing Homes in the United States

4,510 of the 14,697 Medicare-certified nursing homes in the United States (31%) are independently owned, and all are listed below. 1309 of the 4490 graded homes earn an A and 280 earn a D or F. They average 4.25 nursing hours per resident per day, 0.39 hours above the 3.86 for every home in the United States. Mclean Health Center in Simsbury grades highest at A (100 out of 100).

How independently owned homes in the United States compare

This group set against every nursing home in the United States, from the current CMS release.

Nursing hours per resident per day

4.25

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

43.3%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

76.6/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

1,309 grade A, 1,865 grade B, 1,036 grade C, 279 grade D, 1 grade F

The best-graded independently owned home in the United States is Mclean Health Center in Simsbury, CT, grade A, 100/100.

Every independently owned nursing home in the United States

Showing 181 to 200 of 4,510, best-graded first.

A

96/100

Markesan Resident Home

Markesan, WI · Green Lake County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
5.20 /day
Staff turnover
37%
Serious cites
0

Nurse staffing here runs about 5.2 hours per resident per day, well above the national average of 3.86, and weekends dip only slightly below weekdays rather than falling off a cliff. Staff turnover sits at 37.3%, better than the national 45.8%, which suggests people stay. The current record shows four deficiencies, none at the harm or jeopardy level, though one is abuse-related, worth asking about directly. Inspections are recent, and its marks across health, quality, and staffing are all top-tier. For a 50-bed nonprofit, the numbers point to steady, well-staffed care.

A

96/100

St Joseph Residence

New London, WI · Waupaca County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
6.03 /day
Staff turnover
38%
Serious cites
0

St Joseph Residence runs on roughly 6 hours of nursing care per resident per day, about 56% more than the typical American nursing home. Staff turnover sits at 38.3%, better than the 45.8% national figure, though weekend coverage dips about 10% below its own weekday pace, worth asking about if you'll be visiting Saturdays. The 13 deficiencies on record include two tied to abuse; none reached harm or jeopardy, and the most recent inspection was October 2025. Under church-related nonprofit ownership, its federal ratings land at 4 out of 5 for health inspections and 5 out of 5 for both quality measures and staffing.

A

96/100

Anna John Resident Centered Care Community

Oneida, WI · Brown County

CMS 5/548 bedsGovernmentMedicaid
Nurse hours
7.73 /day
Staff turnover
31%
Serious cites
0

Anna John Resident Centered Care Community runs on staffing levels that are roughly double the national average, 7.73 nurse hours per resident day against 3.86 nationwide, and its weekend coverage dips only about 12% below its own weekday numbers, which is a mild drop most families wouldn't notice. The nonprofit's 30.7% turnover also sits well under the 45.8% national figure, meaning the people caring for residents tend to stick around. Four deficiencies appear on the current record, none at the harm level, though one is abuse-related, worth asking about directly. Inspectors last visited in November 2024 and gave the home top marks on health inspections and staffing.

A

96/100

Wi Veterans Home At Chippewa Falls

Chippewa Falls, WI · Chippewa County

CMS 5/572 bedsGovernmentMedicaid
Nurse hours
3.94 /day
Staff turnover
38%
Serious cites
0

The state-run veterans home in Chippewa Falls runs 72 certified beds and staffs at 3.94 nurse hours per resident day, a touch above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, so ask how that plays out on a Saturday. Turnover sits at 37.6%, well under the 45.8% national figure, which matters because stable aides know the residents. Ten deficiencies show on the current record, none at the harm level and none abuse-related, and the last inspection was June 2025. All three CMS star ratings land at four or five. Government ownership here looks like steady staffing rather than a warning sign.

A

96/100

St John's Health Sage Living

Jackson, WY · Teton County

CMS 5/560 bedsGovernmentMedicaid
Nurse hours
3.97 /day
Staff turnover
32%
Serious cites
0

St. John's Health Sage Living runs 60 beds under hospital-district ownership, which tends to mean steadier budgets than a for-profit chain can offer. Its nurse staffing sits at 3.97 hours per resident day, just above the national average of 3.86, though weekends dip about 14% below its own weekday coverage, a gap worth asking about if your family member needs more hands-on help on Saturdays and Sundays. Staff turnover is 32%, well under the national 45.8%, so the people caring for residents tend to stick around. Five deficiencies appear on the current record, none at the harm level, one abuse-related. The last inspection was May 2025.

A

96/100

Tahoe Forest Hospital D/P Snf

Truckee, CA · Nevada County

CMS 5/537 bedsNon-profitMedicaid
Nurse hours
4.77 /day
Staff turnover
22%
Serious cites
0

Tahoe Forest Hospital's skilled nursing unit runs on a nonprofit model with 37 certified beds, and the numbers suggest it's doing right by its residents. Nurse staffing sits at 4.77 hours per resident day, roughly a quarter above the national average, and weekend coverage dips only slightly from weekday levels, which matters because that's where many homes cut corners. Staff turnover is 22%, less than half the national rate, so you're seeing familiar faces rather than a revolving door. The home has 8 deficiencies on record, none involving harm or abuse, and its most recent inspection was in February 2026. For a small rural unit, this is a steady operation.

A

96/100

Lincoln Glen Skilled Nursing

San Jose, CA · Santa Clara County

CMS 5/559 bedsNon-profitMedicaid
Nurse hours
4.76 /day
Staff turnover
23%
Serious cites
0

Lincoln Glen runs on unusually stable staffing for a nursing home: 4.76 nurse hours per resident day, roughly a quarter more than the national average, and turnover of 22.6% against a national rate near 46%. Weekend coverage dips about 7% below weekdays, which is worth asking about if your visits fall on Saturdays or Sundays. The church-affiliated nonprofit's inspection record shows 27 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in March 2025. Quality and staffing measures both sit at the top of CMS's scale, while the health inspection rating lands in the middle.

A

96/100

El Encanto Healthcare Center

City Of Industry, CA · Los Angeles County

CMS 4/5185 bedsNon-profitMedicaid
Nurse hours
5.16 /day
Staff turnover
23%
Serious cites
0

El Encanto runs on 5.16 nurse hours per resident day, roughly a third more than the national average, and its staff turnover of 23.4% sits well under the 45.8% typical elsewhere, that combination is unusual and it matters, because consistent caregivers tend to know residents' routines. Weekend coverage dips about 11% below weekdays, so ask how that plays out on Sundays. The record shows 37 deficiencies with none at the harm level, though four are abuse-related, which is worth a direct question. State inspectors were last in on June 13, 2025, so the picture is fairly current. As a nonprofit, it isn't answering to shareholders.

A

96/100

Grossmont Hospital D/P Snf

La Mesa, CA · San Diego County

CMS 5/530 bedsNon-profitMedicaid
Nurse hours
6.71 /day
Staff turnover
15%
Serious cites
0

Staffing at this La Mesa nonprofit runs 6.71 nurse hours per resident day, roughly 74% above the national average of 3.86, and the 15.2% annual turnover is far below the 45.8% national figure, so the same caregivers tend to stay. Weekend coverage dips about 9% below weekdays, worth asking about. The 14 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was June 2025. With 30 certified beds, it's small enough that a hospital-based operation can keep close tabs on residents.

A

96/100

Totally Kids Rehabilitation Hospital - D/P Snf

Loma Linda, CA · San Bernardino County

CMS 5/556 bedsFor-profitMedicaid
Nurse hours
11.90 /day
Staff turnover
31%
Serious cites
0

Totally Kids Rehabilitation Hospital runs about 11.9 nurse hours per resident day, roughly triple the national average, and its weekend staffing only dips about 7% below weekdays, a gap that's often wider elsewhere. Staff turnover sits at 31.3%, well under the 45.8% national figure, which matters for kids who need consistent caregivers. The tradeoff shows up in its record: 23 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. This is a for-profit operation in Loma Linda with a recent inspection, and the staffing numbers are doing most of the work here.

A

96/100

C C Young Memorial Home

Dallas, TX · Dallas County

CMS 5/5129 bedsNon-profit
Nurse hours
5.30 /day
Staff turnover
43%
Serious cites
0

C C Young Memorial Home sits in Dallas as a nonprofit with 129 certified beds, and the numbers behind its record are worth walking through. Nurse staffing runs 5.30 hours per resident day, roughly 37% above the national average of 3.86, though weekend coverage dips about 9% below its own weekday levels. Staff turnover is 43.1%, slightly better than the national 45.8%. Eight deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection dated January 15, 2026. All three CMS star ratings land at 5 out of 5.

A

96/100

Longhorn Village

Austin, TX · Travis County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
5.71 /day
Staff turnover
43%
Serious cites
0

Longhorn Village runs on a nonprofit model with 60 certified beds in Austin, and the staffing numbers are where it separates itself: 5.71 nurse hours per resident day against a national average of 3.86. Weekends dip roughly 12% below its own weekday coverage, so ask how that gap gets covered. Turnover sits at 43.4%, slightly better than the 45.8% national figure but still worth understanding, since seven deficiencies appear on the current record, none at harm or jeopardy level, though three are abuse-related. The last inspection was March 2025, so the record is fairly fresh. All three CMS star ratings land at 5/5.

A

95.5/100

Masonic Village At Elizabethtown

Elizabethtown, PA · Lancaster County

CMS 5/5434 bedsNon-profitMedicaid
Nurse hours
4.59 /day
Staff turnover
28%
Serious cites
0

Masonic Village at Elizabethtown runs 434 certified beds as a nonprofit, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.59 hours per resident day, roughly 19% above the national average, and annual turnover of 27.5% is well below the 45.8% national figure, which matters because consistent caregivers know the residents. Weekend staffing does dip about 15% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection record is recent, January 2026, with a 5/5 health inspection rating and only 5 deficiencies total, none at the harm or jeopardy level. Two are abuse-related, which is worth asking about directly.

A

95.5/100

Southeastern Pennsylvania Veteran's Center

Spring City, PA · Chester County

CMS 5/5238 bedsGovernmentMedicaid
Nurse hours
5.46 /day
Staff turnover
28%
Serious cites
0

The state-run veterans home in Spring City runs 238 certified beds and staffs nurses at 5.46 hours per resident day, roughly 41% above the national average, with weekend coverage dipping about 16% below its own weekday level. Staff turnover sits at 28.2%, better than the 45.8% national figure. Where it slips is inspections: a 2-out-of-5 health inspection rating, 14 deficiencies on the current record, three of them at the harm or jeopardy level and one abuse-related, plus a $15,733 fine. The most recent inspection was May 9, 2025. Strong staffing and quality scores, weaker inspection history, that's the tradeoff to weigh if you're considering this home.

A

95.5/100

Sitter And Barfoot Veterans Care Center

Richmond, VA · Richmond City County

CMS 5/5200 bedsGovernmentMedicaid
Nurse hours
4.91 /day
Staff turnover
24%
Serious cites
0

Sitter and Barfoot in Richmond is state-run and staffs heavily: 4.91 nurse hours per resident day, roughly 27 percent above the national average, with a 5/5 CMS staffing rating to match. Turnover sits at 24.4 percent, well under the national 45.8 percent, so the people caring for residents tend to stay. The caution is in the inspection record, 31 deficiencies, four at harm or jeopardy level and four abuse-related, with a June 2025 inspection and a middling 3/5 health inspection rating. Strong daily coverage and stable staff, but a compliance history worth asking about directly.

A

95/100

Marycrest Manor

Culver City, CA · Los Angeles County

CMS 5/557 bedsNon-profitMedicaid
Nurse hours
5.12 /day
Staff turnover
21%
Serious cites
0

Marycrest Manor is a fifty-seven bed nonprofit in Culver City, and the staffing numbers are the first thing worth noticing. At 5.12 nurse hours per resident day, it runs about a third above the national average, and its staff turnover of 20.8% is less than half the national rate, a big deal in a field where aides cycling out the door is often the quiet reason care slips. Weekend coverage dips roughly 11% below its own weekday level, which is common but still worth asking about. On inspections, nineteen deficiencies are on record, none at the harm level and none abuse-related, with the most recent visit in January 2026.

A

95/100

Grace Home Inc.

Livingston, CA · Merced County

CMS 5/533 bedsNon-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
16%
Serious cites
0

Grace Home in Livingston runs on a church-affiliated nonprofit model with just 33 certified beds, and the numbers reflect a stable, well-run operation. Nurse staffing sits at 4.34 hours per resident day, roughly 12% above the national average, though weekends dip about 10% below the home's own weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is the standout figure: 16.2%, well under the national 45.8%, which suggests caregivers stay. The home carries 18 deficiencies on its record, but none at the harm or jeopardy level and none abuse-related. Its last inspection was in May 2026.

A

95/100

Green House Homes At Mirasol, The

Loveland, CO · Larimer County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
5.02 /day
Staff turnover
35%
Serious cites
0

Green House Homes at Mirasol runs on 5.02 nurse hours per resident day, roughly 30% above the national average, and its staff turnover of 35% sits well under the 45.8% national figure. Weekend staffing dips about 7% below weekday levels, so ask how that plays out on Saturdays. The home carries 16 deficiencies, but none at the harm or jeopardy level and none abuse-related, with three fines totaling $7,544, a modest total. Its last inspection was March 2025, so the record is current. Ownership is a for-profit limited liability company, which is worth knowing when you review the numbers yourself.

A

95/100

Nottingham Health And Rehabilitation

Olathe, KS · Johnson County

CMS 5/580 bedsFor-profitMedicaid
Nurse hours
4.74 /day
Staff turnover
34%
Serious cites
0

Nottingham Health and Rehabilitation runs 4.74 nurse hours per resident day, about 23% above the national average of 3.86, and its staff turnover sits at 34.3%, well under the 45.8% national figure, meaning the people caring for residents tend to stay. The 14 deficiencies on record include none at the harm level and none related to abuse, and the last inspection was April 8, 2026. Weekend staffing dips about 11% below its weekday level, which is common but worth asking about if you're planning visits on Saturdays or Sundays. For-profit individual ownership, 80 beds. The numbers here hold up.

A

95/100

Carleton-Willard Village Retirement & Nursing Ctr

Bedford, MA · Middlesex County

CMS 5/5179 bedsNon-profitMedicaid
Nurse hours
5.17 /day
Staff turnover
32%
Serious cites
0

Carleton-Willard Village runs a nonprofit operation in Bedford with 179 certified beds, and the caregiving hours stand out: 5.17 per resident day, roughly a third more than the national average of 3.86, with weekend coverage dipping only slightly below weekdays. Staff turnover of 32.3% also beats the 45.8% national figure, which matters for continuity. The caution signs sit on the inspection side, 11 deficiencies on the current record, five serious enough to involve harm or jeopardy, one tied to abuse, and two fines totaling $25,497, all from an inspection dated February 2025. Strong staffing and quality scores, but a recent survey that found real problems.

Frequently asked questions

How many independently owned nursing homes are there in the United States?
There are 4,510 independently owned Medicare-certified nursing homes in the United States, 31% of the 14,697 nursing homes there.
Are independently owned nursing homes better staffed?
In the United States they average 4.25 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +0.39 hours. Staff turnover averages 43.3% against 45.8%.
Which independently owned nursing home grades best in the United States?
Mclean Health Center in Simsbury, CT, grade A, 100 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 4,490 graded independently owned homes in the United States, 1,309 grade A and 280 grade D or F.
Do independently owned nursing homes in the United States accept Medicaid?
4,250 of the 4,510 are certified to accept Medicaid. See Medicaid and nursing homes.

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